COMPLAINT FORM

Please send to Club Welfare Officer (CWO) or Club Secretary

COMPLAINANT DETAILS

Full name

Date of birth

Address

Post code

Home telephone number

Mobile telephone number

Email Address

WHAT ROLE BEST DESCRIBES YOU?

Coach / Manager

Parent

Volunteer of an affiliated body

Player

Spectator

Other (Please specify below)

Other

WHAT IS YOUR COMPLAINT RELATED TO?

Wilpshire Wanderers FC

Coach/Manager/

Volunteer (Individual)

Voluntary body

(Club/League)

FA Regulation and/or policy

Summertown Stars AFC

Regulation and/or policy

Other (Please specify below)

Details of other person(s) or organisations involved in this complaint (i.e. what the complaint is about and who it concerns)

Name

Organisation

Position

Details of complaint

Details of what action you expect to be taken

For Office use only

Complaint received by

Date received

Action taken or required

Date action completed

Signature